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Blunt Cerebrovascular Injury (BCVI) Management: Is There a Right Answer?
Barnes, Brandon Michael; Bouillon, Victoria; Haiflich, Andrew; Butts, C Caleb; Capasso, Thomas; Bright, Andrew; Polite, Nathan; Williams, Ashley Y; Kinnard, Christopher; Simmons, Jon D; Lee, Yannlei L; Mbaka, Maryann.
Afiliación
  • Barnes BM; Department of Surgery, Division of Trauma, University of South Alabama, Mobile, AL, USA.
  • Bouillon V; Department of Surgery, Division of Trauma, University of South Alabama, Mobile, AL, USA.
  • Haiflich A; Department of Surgery, Division of Trauma, University of South Alabama, Mobile, AL, USA.
  • Butts CC; Department of Surgery, Division of Trauma, University of South Alabama, Mobile, AL, USA.
  • Capasso T; Department of Surgery, Division of Trauma, University of South Alabama, Mobile, AL, USA.
  • Bright A; Department of Surgery, Division of Trauma, University of South Alabama, Mobile, AL, USA.
  • Polite N; Department of Surgery, Division of Trauma, University of South Alabama, Mobile, AL, USA.
  • Williams AY; Department of Surgery, Division of Trauma, University of South Alabama, Mobile, AL, USA.
  • Kinnard C; Department of Surgery, Division of Trauma, University of South Alabama, Mobile, AL, USA.
  • Simmons JD; Department of Surgery, Division of Trauma, University of South Alabama, Mobile, AL, USA.
  • Lee YL; Department of Surgery, Division of Trauma, University of South Alabama, Mobile, AL, USA.
  • Mbaka M; Department of Surgery, Division of Trauma, University of South Alabama, Mobile, AL, USA.
Am Surg ; 89(8): 3536-3538, 2023 Aug.
Article en En | MEDLINE | ID: mdl-36869309
Blunt cerebrovascular injury (BCVI) results from blunt trauma causing injury to the carotid and/or vertebral arteries. Its most severe manifestation is stroke. The purpose of this study was to evaluate the incidence, management, and outcomes of BCVI at a level one trauma/stroke center. Data on patients diagnosed with BCVI from 2016 to 2021 were extracted from the USA Health trauma registry with associated intervention performed and patient outcomes. Of the 97 patients identified, 16.5% presented with stroke-like symptoms (SS). Medical management was employed for 75%. Intravascular stent alone was utilized for 18.8%. The mean age of symptomatic BCVI patients was 37.6 with a mean injury severity score (ISS) of 38.2. Within the asymptomatic population, 58% received medical management and 3.7% underwent combination therapy. The mean age of asymptomatic BCVI patients was 46.9 with a mean ISS of 20.3. There were 6 mortalities, only one BCVI related.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Heridas no Penetrantes / Accidente Cerebrovascular / Traumatismos Cerebrovasculares Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Am Surg Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Heridas no Penetrantes / Accidente Cerebrovascular / Traumatismos Cerebrovasculares Tipo de estudio: Diagnostic_studies / Etiology_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Límite: Humans Idioma: En Revista: Am Surg Año: 2023 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Estados Unidos